SOFIA QUINN
Dependent on policy B07M000876
Claims
2
Attributed to this person
Charged
1,470.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
131.25
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | SOFIA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000876 |
| Date of birth | 15 Sep 2021 |
| Plan | GOLD PPO |
| Covered from | 1 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 131.25 |
| Total | 131.25 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003625 | 13 Nov 2025 | 595.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003623 | 3 Oct 2025 | 875.00 | MERIDIAN HEALTH PLAN | Not denied | — |